HomeMy WebLinkAboutUnavailability ReportPREVIOUS CONTRACT NO. H-9-03-242-B1 BID NO. H-Z-05-376-B1
ATTACHMENT "J"
M/WBE
UNAVAILABILITY REPORT
RLI/BID NO.
(NAME OF PRIME CONTRACTOR)
(ADDRESS) (TELEPHONE NO.)
The undersigned representative of the Prime Contractor personally appeared before the undersigned officer
authorized to administer oaths who after being duly sworn states that the undersigned has contacted the M/WBEs
listed below and that said M/WBEs are unavailable to perform or submit a bid which was not the low acceptable bid
set forth and that the following information regarding M/WBE subcontractors is true and correct to the best of
his/her knowledge:
1. The following M/WBE contractors were invited to bid subcontract work, but were not available to work.
(Attach list if necessary.)
Name M/WBE Group
2. The following M/WBE contractors were invited to bid subcontract work, but did not respond to the
invitation. (Attach list if necessary.)
Name M/WBE Group
3. The following M/WBE contractors submitted bids which were not the low acceptable bids. (Attach list if
necessary.)
Name M/WBE Group
If you did not get any responses to your solicitation of M/WBE contractors, please detail your efforts to recruit
eligible firms, i.e., advertising, personal calls, mailing lists, etc. Information provided will be verified. Attach all
supporting documents such as newspaper ads, phone lists, mailing lists, etc.
Signature:
Title:
Date:
SBDD Compliance Form 2004-3
GRMC-PB12-2005
2/16/06
Page 80 of 84